Contralateral limb during total contact casting. A dynamic pressure and thermometric analysis

Journal of the American Podiatric Medical Association
David G ArmstrongW F Todd

Abstract

The authors draw attention to the importance of evaluation of the contralateral limb when treating unilateral sequelae secondary to distal symmetrical polyneuropathy. Plantar pressure measurements of the contralateral limb during total contact casting are reviewed. The results of thermometric evaluation before and after initiation of repetitive stress were reviewed. The results suggest that the patient walking in a total contact cast may experience a reduced focal pressure on the contralateral limb when compared with uncasted walking and three-point walking with crutches. Dermal thermometry may be a highly sensitive tool in evaluating even mild increases in repetitive stress. To explain this decrease in contralateral stress, the authors examine the features inherent to the total contact cast and propose the concept of proprioceptive stability.

Citations

Dec 1, 2005·Current Diabetes Reports·Stephanie C WuDavid G Armstrong
Aug 13, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David G ArmstrongAndrew J M Boulton
Sep 4, 2009·Scottish Medical Journal·C N ParnabyW P Stuart
Jun 27, 2006·Plastic and Reconstructive Surgery·Stephanie C Wu, David G Armstrong
Mar 17, 2011·Journal of the American Podiatric Medical Association·Jamie N MierasStephen L Barrett
Mar 3, 2004·Foot & Ankle International·Heather D HartsellCharles L Saltzman
May 7, 2002·Foot & Ankle International·Heather D HartsellCharles L Saltzman

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